| Hallows End Collective Licensed Clinical Social Worker, A Professional Corporation | |
|
3 Laurel Ln Aliso Viejo CA 92656-2941 | |
| (760) 505-9084 | |
| Not Available |
| Full Name | Hallows End Collective Licensed Clinical Social Worker, A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3 Laurel Ln, Aliso Viejo, California |
| Authorized Official Name and Position | Shanice Williams (CEO) |
| Authorized Official Contact | 7605059084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hallows End Collective Licensed Clinical Social Worker, A Professional Corporation 3 Laurel Ln Aliso Viejo CA 92656-2941 Ph: (760) 505-9084 | Hallows End Collective Licensed Clinical Social Worker, A Professional Corporation 3 Laurel Ln Aliso Viejo CA 92656-2941 Ph: (760) 505-9084 |
| NPI Number | 1922952464 |
|---|---|
| Provider Enumeration Date | 02/23/2026 |
| Last Update Date | 02/23/2026 |
| Certification Date | 02/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922952464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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